Evidence map›Paper›PMID 30819259›Full record

Trial reportJournal of neuroengineering and rehabilitation2019

Novel gait training alters functional brain connectivity during walking in chronic stroke patients: a randomized controlled pilot trial.

I-Hsuan Chen, Yea-Ru Yang, Chia-Feng Lu, Ray-Yau Wang

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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  13. Distinct gait dimensions are modulated by physical activity in Parkinson's disease patients.Journal of neural transmission (Vienna, Austria : 1996) · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

I-Hsuan ChenDepartment of Physical Therapy, Fooyin University, Kaohsiung, Taiwan.
Yea-Ru YangDepartment of Physical Therapy and Assistive Technology, National Yang-Ming University, 155, Sec 2, Li Nong St., Shih-Pai, Taipei, 112, Taiwan.
Chia-Feng LuDepartment of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei, Taiwan.
Ray-Yau WangDepartment of Physical Therapy and Assistive Technology, National Yang-Ming University, 155, Sec 2, Li Nong St., Shih-Pai, Taipei, 112, Taiwan. rywang@ym.edu.tw.
National Yang Ming Chiao Tung University · TWFooyin University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA recent study has demonstrated that a turning-based treadmill program yields greater improvements in gait speed and temporal symmetry than regular treadmill training in chronic stroke patients. However, it remains unknown how this novel and challenging gait training shapes the cortico-cortical network and cortico-spinal network during walking in chronic stroke patients. The purpose of this study was to examine how a novel type of gait training, which is an unfamiliar but effective task for people with chronic stroke, enhances brain reorganization.

methodsSubjects in the experimental and control groups received 30 min of turning-based treadmill training and regular treadmill training, respectively. Cortico-cortical connectivity and cortico-muscular connectivity during walking and gait performance were assessed before and after completing the 12-session training.

resultsEighteen subjects (n = 9 per group) with a mean age of 52.5 ± 9.7 years and an overground walking speed of 0.61 ± 0.26 m/s consented and participated in this study. There were significant group by time interactions for gait speed, temporal gait symmetry, and cortico-cortical connectivity as well as cortico-muscular connectivity in walk-related frequency (24-40 Hz) over the frontal-central-parietal areas. Compared with the regular treadmill training, the turning-based treadmill training resulted in greater improvements in these measures. Moreover, the increases in cortico-cortical connectivity and cortico-muscular connectivity while walking were associated with improvements in temporal gait symmetry.

conclusionsOur findings suggest this novel turning-based treadmill training is effective for enhancing brain functional reorganization underlying cortico-cortical and corticomuscular mechanisms and thus may result in gait improvement in people with chronic stroke.

trial registrationACTRN12617000190303 . Registered 3 February 2017, retrospectively registered.

Indexed as

AdultAgedBrainExercise TherapyFemaleGaitHumansMaleMiddle AgedPilot ProjectsStrokeStroke RehabilitationTreatment OutcomeWalkingBrain connectivityEEGEMGGaitStrokeTurning

Identifiers

PMID30819259
PMCPMC6396471
OpenAlexW2918688742

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.